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辣椒素局部应用于成人周围神经的作用。I. 周围神经和脊髓的生理学

Effects of capsaicin applied locally to adult peripheral nerve. I. Physiology of peripheral nerve and spinal cord.

作者信息

Wall P D, Fitzgerald M

出版信息

Pain. 1981 Dec;11(3):363-77. doi: 10.1016/0304-3959(81)90636-9.

Abstract

(1) Systemic capsaicin treatment of neonatal and adult rats is known to affect unmyelinated afferents. However, the systemic route of administration presents several disadvantages and in order to overcome these a method was explored where a single nerve in adult rats was locally treated. (2) Sciatic nerves were exposed and a 10 mm length was soaked for 15 min in 1.5% capsaicin in vehicle or in the vehicle alone (10% Tween 80, 10% ethyl alcohol in saline). (3) Both the capsaicin solution and the vehicle caused acute block of the C compound action potential while in contact with the nerve. Removal of the solutions, however, resulted in substantial recovery of C fibre conduction. The A fibre volley was totally unaffected. (4) 13-21 days after treatment, the size of the myelinated and unmyelinated volleys evoked by maximal stimulation of the capsaicin treated nerve were unchanged but there was a 20% decrease of conduction velocity in the C fibres. (5) The ability of the maximal C volley from the treated nerve to excite cells in the spinal cord was substantially decreased (by 50%) 13-21 days after local capsaicin.

摘要

(1) 已知对新生大鼠和成年大鼠进行全身辣椒素治疗会影响无髓传入神经。然而,全身给药途径存在几个缺点,为了克服这些缺点,研究了一种对成年大鼠的单根神经进行局部治疗的方法。(2) 暴露坐骨神经,将10毫米长的神经段在含1.5%辣椒素的赋形剂或仅在赋形剂(10%吐温80、10%乙醇的生理盐水溶液)中浸泡15分钟。(3) 辣椒素溶液和赋形剂在与神经接触时都会引起C复合动作电位的急性阻滞。然而,去除溶液后,C纤维传导会有显著恢复。A纤维群峰完全不受影响。(4) 治疗后13 - 21天,对辣椒素处理的神经进行最大刺激所诱发的有髓和无髓群峰大小未变,但C纤维的传导速度降低了20%。(5) 局部应用辣椒素后13 - 21天,处理过的神经的最大C群峰兴奋脊髓中细胞的能力大幅下降(下降50%)。

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